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SAMANTHA ANN JARVIS LCPC
NPI 1063182475
Counselor - Mental Health in Hagerstown, MD

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
1146 OPAL CT, HAGERSTOWN, MD 21740(301) 797-2110(301) 671-1485 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2023, Sep 16, 2021 (2 updates tracked since 2021).

About Samantha Ann Jarvis Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANN JARVIS LCPC (NPI 1063182475) is an individual mental health provider in Hagerstown, Maryland, licensed in Maryland (LC14186) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063182475
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA ANN JARVISCredential: LCPC
Location Address1146 OPAL CTHagerstown, MD 21740-5940
Mailing Address324 E Antietam St Ste 301Hagerstown, MD 21740-5768 · (301) 797-2110 · Fax (301) 671-1485
Phone(301) 797-2110
Fax(301) 671-1485
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 16, 2021
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1063182475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MD · LC14186✔ Licensed in MD · LGP11747
1146 OPAL CT, Hagerstown, MD 21740
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Ann Jarvis Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719404607
PECOS Enrollment IDI20250505001502
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TRACY DAWN SOFFE LMSW
Social Worker
1146 OPAL CT
HAGERSTOWN, MD 21740
Washington County (301) 797-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Jarvis's NPI number?

The NPI number for Samantha Jarvis is 1063182475. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Samantha Jarvis located?

Samantha Jarvis practices at 1146 Opal Ct, Hagerstown, MD 21740. The listed phone number is (301) 797-2110.

What is Samantha Jarvis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samantha Jarvis enrolled in Medicare?

Yes. Samantha Jarvis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Jarvis was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.